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Ann Fr Anesth Reanim · Nov 2003
Case Reports[Glanzmann's thrombasthenia and pregnancy: a case and review of the literature].
- C Monrigal, P Beurrier, F-J Mercier, C Boyer-Neumann, and P Gillard.
- Département d'anesthésie-réanimation, CHU Angers, 4, rue Larrey, 49033 Angers 01, France. chmonrigal@chu-angers.fr
- Ann Fr Anesth Reanim. 2003 Nov 1; 22 (9): 826-30.
AbstractGlanzmann's thrombasthenia is a thrombopathy due to a qualitative or quantitative abnormality of glycoproteins GP IIb-IIIa. Pregnancy is uncommon and dangerous. Delivery often results in important haemorrhage, which is treated with HLA compatible platelet and packed red blood cells transfusions. Platelet transfusion may produce antibody that render transfusions ineffective. Newborn thrombocytopenia is occasionally severe, but is always transitory. Caesarean section has no proven advantage. We report a case with caesarean, which was successfully managed by platelet transfusion over seven peripartum days, with no adverse event. Literature is discussed.
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